Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS–LD)

Roy, Ashok; Matthews, Helen; Clifford, Paul; Fowler, Vanessa; Martín, David

doi:10.1192/bjp.180.1.61

Cited by 101 publications

(77 citation statements)

References 13 publications

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“…) and global functioning as measured by the HoNOS‐LD (Roy et al . ). They did not find significant improvements in coping skills as measured by the VABS‐II (Sparrow et al .…”

Section: Resultsmentioning

confidence: 97%

Dialectical Behaviour Therapy [DBT] with People with Intellectual Disabilities: A Systematic Review and Narrative Analysis

McNair

Woodrow

Hare

2016

Research Intellect Disabil

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“…) and global functioning as measured by the HoNOS‐LD (Roy et al . ). They did not find significant improvements in coping skills as measured by the VABS‐II (Sparrow et al .…”

Section: Resultsmentioning

confidence: 97%

Dialectical Behaviour Therapy [DBT] with People with Intellectual Disabilities: A Systematic Review and Narrative Analysis

McNair

Woodrow

Hare

2016

Research Intellect Disabil

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“…A second limitation of the study is the small, and the diagnosis-related sample. The majority of the diagnoses were learning disability where the broad nature of HoNOSCA items may be less well suited to detecting slight changes in such patients (e.g., Roy, Matthews, Clifford, Fowler, & Martin, 2002). However, the main aim of this study (as above mentioned) was not to measure the outcomes of the services, but to evaluate the Greek translation of the instrument.…”

Section: Limitations Of the Studymentioning

confidence: 98%

Translation and standardization of the HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) scale in a Greek sample

Adamis

Giannakopoulou

Konstantopoulou³

et al. 2011

Clin Child Psychol Psychiatry

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The Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA) is a brief measure of outcomes. Evidence for the effectiveness of patient treatments conducted in mental health services is limited in Greece. Thus, in an attempt to employ an easily administered and valid outcome measure, to assess outcomes in clinical practice for children and adolescents, but also to be able to compare the results across countries, the HoNOSCA was the measure of choice. In this study we have translated and validated it in a Greek sample. We have investigated the inter-rater reliability, intraclass correlation, concurrent validity, and clinical change across time, of the HoNOSCA Greek translation. The results show that the Greek translation of HoNOSCA is a reliable and valid instrument. It can be used for clinical, managerial, research and audit purposes, but, most importantly, to facilitate multinational clinical research and comparison of data with other countries.

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“…We administered the Symptom Checklist-90-Revised (SCL-90-R) (Derogatis, 1994) to the first intake of clients to the skills group, but found that so many adaptations to item wording were needed that its statistical and clinical utility was compromised, so we stopped using it. For the past three years we have administered the Health of the Nation Outcome Scale -Learning Disability version (HoNOS-LD) (Roy et al, 2002) to carers every three months; initial data suggest the HoNOS-LD may lack sensitivity to measure psychological change. There is currently a lack of DBT-focused outcome measures suitable for adults with an ID, so we have developed and administered our own 18 item psychometric measure (the DBT Carers' Feedback Questionnaire (DBTCFQ)).…”

Section: Evaluation Of Our Dbt Servicementioning

confidence: 99%

Community dialectical behaviour therapy for emotionally dysregulated adults with intellectual disabilities

Baillie¹,

Slater²

2014

Advances in Mental Health and Intellectual Disabilities

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Purpose -The purpose of this paper is to reflexively examine the challenges of implementing a community dialectical behaviour therapy (DBT) service for adults with intellectual disabilities (ID) and describes the practical lessons learned about how to maximise the effectiveness of DBT with this client group. Design/methodology/approach -A brief overview of DBT is provided and reference is made to literature which highlights the potential benefits of providing a DBT service to clients with an ID. This is followed by a discussion of the clinical presentation of the clients receiving DBT in the service that is the focus of this case study. Using a reflexive approach, a detailed discussion follows of the challenges faced in implementing a community DBT service for the clients served. Findings -Solutions to a variety of challenges faced in four years of service delivery are described, key lessons learned are highlighted, together with issues meriting further research. Research limitations/implications -This case study and its implications are limited to community DBT services. Another limitation is that, although outcome data have been collected over the past two years, the dataset is not yet large enough to draw statistical conclusions. Practical implications -The paper describes adaptations to treatment structure and strategy which the authors believe are necessary to improve treatment outcomes in community DBT services for adults with ID. In particular, the practical experience suggests that a didactic approach to teaching DBT skills is not effective and should be replaced by the "community of learners" approach that involves the trainer contingently responding to client input. Pre-set lesson plans inhibit the trainers' ability to respond contingently. Originality/value -The existing literature on providing a DBT service for people with an ID has principally focused on providing a rationale for providing this type of intervention, and on assessing outcomes. Given that this is still a relatively new type of provision for this client group, a detailed examination of process issues is called for.In this paper we will draw upon our four years of experience of running a community-based dialectical behaviour therapy (DBT) service for adults with intellectual disabilities (ID) to address three questions:1. How might a DBT service contribute to the range of services typically provided by community learning disability teams to support emotionally dysregulated individuals who challenge services?2. With regard to practical implementation of a DBT service, what adaptations are necessary to maximise the effectiveness of service delivery for an adult population with ID?3. What issues in need of further research are raised by the provision of DBT to people with ID? Research issues will be highlighted at the points where they arise in this paper.The authors wish to thank an anonymous reviewer for their constructive comments on an earlier draft of this paper.

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Health of the Nation Outcome Scales for People with Learning Disabilities (HoNOS–LD)

Abstract: HoNOS-LD is an appropriate instrument for measuring outcome in people with learning disabilities with additional mental health needs.

Cited by 101 publications

References 13 publications

Dialectical Behaviour Therapy [DBT] with People with Intellectual Disabilities: A Systematic Review and Narrative Analysis

Dialectical Behaviour Therapy [DBT] with People with Intellectual Disabilities: A Systematic Review and Narrative Analysis

Translation and standardization of the HoNOSCA (Health of the Nation Outcome Scales for Children and Adolescents) scale in a Greek sample

Community dialectical behaviour therapy for emotionally dysregulated adults with intellectual disabilities

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